Individual
LEON AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., M.S.
Contact information
Practice address
116 W SUPERIOR ST STE 4, ALMA, MI 48801-1650
(989) 576-0554
Mailing address
2683 W BUCHANAN RD, ITHACA, MI 48847-9640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013213
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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